| NPI | 1730647090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102806) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-06-23 |